- Terumo Medical Corporation (Tampa, FL)
- Field Clinical Specialist - EMBO, Tampa Date: Oct 31, 2025 Req ID: 5128 Location: Tampa, FL, US Company: Terumo Medical Corporation Department: TIS Sales - South ... (QA), and by ensuring all promotional messaging (ie branding strategies, product claims , etc.) and materials (ie literature) discussed or presented to customers are… more
- Publix (Lakeland, FL)
- **35078BR** **Position Title:** General Liability Attorney Represented Claims Specialist **Department:** Risk Management **Location:** Lakeland, FL ... **Description:** The General Liability Attorney Represented Claims Specialist ( Claims Specialist ) adjusts non-litigated general liability and fleet … more
- Sedgwick (Tampa, FL)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist | Medical Malpractice (PL) | Remote, Florida **PRIMARY PURPOSE** ... **:** To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims ; to… more
- MetLife (Tampa, FL)
- …A MONTH after training. Key Responsibilities: * Manages overall STD block of claims and possible companion claims to include Statutory plans, Federal, Company, ... * Accountable for accurate financial decisions on block of claims with financial base benefit amount up to $8000...Associate Degree or higher * 2 plus years of claims management experience preferably in Healthcare field * Proficient… more
- Modernizing Medicine (Tampa, FL)
- …Chile, and Germany. ModMed (https://www.modmed.com/company/) is hiring a driven Patient Claim Specialist who will play a pivotal role in shaping a positive patient ... all inbound and outbound patient calls regarding patient balance inquiries, claims processing, insurance updates, and payment collections + Initiate outbound calls… more
- MetLife (Tampa, FL)
- …meeting all key performance indicators * Provides timely, balanced and accurate claims reviews, documentation and recommended decisions in a time sensitive and ... if additional information is needed to make a reasonable and logical claims determination based off the information available * Collaborates with both external… more
- Molina Healthcare (Tampa, FL)
- …**Job Summary** Responsible for reviewing Medicaid, Medicare, and Marketplace claims for overpayments; researching claim payment guidelines, billing guidelines, ... overpayment notification and supporting documentation such as explanation of benefits, claims and attachments. + Maintains and reconciles department reports for… more
- Deloitte (Tampa, FL)
- …in a collaborative environment. As an experienced Epic Resolute Hospital Billing and Claims Application Analyst Project Delivery Specialist , you will have the ... system in the Southeast region. + Conduct Epic Hospital Billing and Claims application build, testing, refinement, and issue resolution, as well as coordination… more
- Allied Universal (Tampa, FL)
- Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... and make a difference. Allied Universal(R) is hiring a Claims Investigator. Claim Investigators validate the facts of loss...Fraud Claim Law Associate (FCLA) + Fraud Claim Law Specialist (FCLS) + Certified Protection Professional (CPP) + Associate… more
- Elevance Health (Tampa, FL)
- **Financial Operations Recovery Specialist II** **Onsite Requirement:** **Virtual;** This role enables associates to work virtually full-time, with the exception of ... depends on candidates specific time zone. The **Financial Operations Recovery Specialist II** is responsible for the discovery, validation, recovery, and adjustments… more
- Sedgwick (Tampa, FL)
- …Fortune Best Workplaces in Financial Services & Insurance Disability Clinical Specialist **PRIMARY PURPOSE** : To perform clinical evaluations, consult providers and ... work. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Performs clinical review of referred claims ; documents decision rationale; and completes medical review of all … more
- Elevance Health (Tampa, FL)
- …unless an accommodation is granted as required by law._ The **Excess Loss Specialist ** is responsible for working independently reviewing claims and interpreting ... **Excess Loss Specialist ** **Location :** This role enables associates to...+ Assists auditors with obtaining information for stop loss claims . + Tracks payments from third-party administrators that have… more
- Molina Healthcare (Tampa, FL)
- JOB DESCRIPTION Job Summary Provides support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to ... to ensure that internal and/or regulatory timelines are met. * Researches claims appeals and grievances using support systems to determine appropriate appeals and… more
- Molina Healthcare (Tampa, FL)
- JOB DESCRIPTION Provides support for claims activities including reviewing and resolving **Provider No Surprises Act** cases in accordance with the standards and ... ensure that internal and/or regulatory timelines are measured correctly. * Researches claims using support systems to determine **Provider No Surprise Act** cases… more
- Travelers Insurance Company (Tampa, FL)
- …reserving, negotiating and resolving assigned serious and complex General Liability claims . Provides quality claim handling throughout the claim life cycle (customer ... Do?** + CLAIM HANDLING: + Directly handle assigned severe claims when Travelers has coverage of $2 million or...+ Utilize diary management system to ensure that all claims are handled timely. At required time intervals, evaluate… more
- MyFlorida (Tampa, FL)
- ELIGIBILITY SPECIALIST III (COE) - 60046226 Date: Nov 14, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 865367 Agency: Children and Families Working Title: ELIGIBILITY SPECIALIST III (COE) - 60046226 Pay Plan: Career Service Position Number: 60046226… more
- Molina Healthcare (Tampa, FL)
- …clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains ... days of error issuance. * Evaluates the adjudication of claims using standard principles and state specific policies and...fraudulent billing practices, waste, overpayments, and processing errors of claims . ( _Use for claims specific positions… more
- MyFlorida (Tampa, FL)
- ELIGIBILITY SPECIALIST II - 60050365 Date: Oct 21, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 863626 Agency: Children and Families Working Title: ELIGIBILITY SPECIALIST II - 60050365 Pay Plan: Career Service Position Number: 60050365 Salary:… more
- Molina Healthcare (Tampa, FL)
- …to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance ... and accurately, in accordance with regulatory requirements. + Research claims processing guidelines, provider contracts, fee schedules and system configurations… more
- Sedgwick (Tampa, FL)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Housing Specialist **PRIMARY PURPOSE:** Booking and extending Airbnb reservations in a quick and ... or university preferred. **Experience** Four (4) years of experience in claims processing or related business experience, or equivalent combination of education… more
